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Video-assisted thoracoscopic (VATs) lobectomy is mild to moderately pain procedure. For conventional thoracotomy, there are many invasive pain control such as epidural analgesia, paravertebral block. However, for VATs, the invasive pain control somehow are too invasive. Nefopam is non-opioid painkilling medication, Serotonin, norepinephrine, dopamine reuptake inhibitor. Many study were demonstrated positive outcome of nefopam usage in many operation such as abdominal surgery, laparocopic surgery, orthopedic surgery. Nevertheless, nefopam for VATs is not well studied yet.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nefopam group[ | Experimental |
| |
| placebo group | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nefopam 20 MG/ML | Drug | Nefopam group nefopam 20 mg during surgery and follow by 80 mg in 24 hours postoperative |
|
| Measure | Description | Time Frame |
|---|---|---|
| morphine consumption in first 24 hours post-operative | morphine consumption record from patient-controlled analgesia machine in 24 hours post-operative | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| numeric pain score | numeric pain score in 1, 2, 12, 24 hours after surgery | 24 hours |
| side effect of nefopam | side effect of nefopam: tachycardia, sweating, nausea, vomiting, sedation |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| faculty of medicine Siriraj hospital | Bangkok | 10600 | Thailand |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D009340 | Nefopam |
| ID | Term |
|---|---|
| D010079 | Oxazocines |
| D001392 | Azocines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| Placebo | Drug | Placebo |
|
| 24 hours |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |